Organization Active NPI

LKH Psychological Services, LLC

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1013352756
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4840 Issued in MN
Legal business name
LKH PSYCHOLOGICAL SERVICES, LLC
Practice address
1409 Willow St Ste 610
Minneapolis, MN 55403-3283
Phone
(612) 345-4754
Fax
(612) 345-4757
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leann Kaye Hutton, PSYD, LP
Title
Clinical Psychologist
Phone
(612) 345-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP4840 MN Primary

Addresses

Primary practice location

1409 Willow St Ste 610
Minneapolis, MN 55403-3283

Mailing address

1409 Willow St Ste 610
Minneapolis, MN 55403-3283
Phone (612) 345-4754

National Provider Directory

National Provider Directory

Locations

1409 Willow St
Ste 610
Minneapolis, MN 55403
Phone (612) 345-4754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1013352756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 610",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033283",
            "telephone_number": "612-345-4754",
            "fax_number": "612-345-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 610",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033283",
            "telephone_number": "612-345-4754",
            "fax_number": "612-345-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKH PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-345-4754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.